Shivani Sharma, F. Giovinazzo, Abigail Hucker, Ken Farrington, Chris Lawrence, Guilio Valentino Dalla Riva, A. Cronin
The COVID-19 pandemic has placed considerable strain on the allocation of healthcare resources. In this research, we explored the views of healthcare professionals in the UK on the countrywide management of organ donation and transplantation during the first COVID-19 surge in the spring of 2020. Methods: An internet-based survey was developed and distributed over a 2-week period in May/June 2020. Results: Three hundred and fourteen professionals responded, covering all organ donation and transplant regions across the UK. Data suggest a considerable degree of scaling back of activity in all but one region (Northern Ireland). A range of absolute criteria for organ donation and transplantation were highlighted that have since been implemented in practice. Notable strengths of the countrywide response included the donation and transplant community acting responsibly and proportionately (51.6%), providing access to up-to-date information and data (43.9%,) and communicating risk (40.8%). Mixed views were expressed on equity in resource allocation, with 32% aligning with inequity, 28% with equity and 17% of respondents stating that equity issues are not relevant in a crisis. Conclusion: Findings highlight that managing scarcity is complex during a pandemic. Embedding ethical values in recovery and future threats preparedness should be prioritised.
{"title":"Impact of COVID-19 on Organ Donation and Transplantation in the UK","authors":"Shivani Sharma, F. Giovinazzo, Abigail Hucker, Ken Farrington, Chris Lawrence, Guilio Valentino Dalla Riva, A. Cronin","doi":"10.38192/1.7.3.7","DOIUrl":"https://doi.org/10.38192/1.7.3.7","url":null,"abstract":"The COVID-19 pandemic has placed considerable strain on the allocation of healthcare resources. In this research, we explored the views of healthcare professionals in the UK on the countrywide management of organ donation and transplantation during the first COVID-19 surge in the spring of 2020. \u0000Methods: An internet-based survey was developed and distributed over a 2-week period in May/June 2020. \u0000Results: Three hundred and fourteen professionals responded, covering all organ donation and transplant regions across the UK. Data suggest a considerable degree of scaling back of activity in all but one region (Northern Ireland). A range of absolute criteria for organ donation and transplantation were highlighted that have since been implemented in practice. \u0000Notable strengths of the countrywide response included the donation and transplant community acting responsibly and proportionately (51.6%), providing access to up-to-date information and data (43.9%,) and communicating risk (40.8%). Mixed views were expressed on equity in resource allocation, with 32% aligning with inequity, 28% with equity and 17% of respondents stating that equity issues are not relevant in a crisis. \u0000Conclusion: Findings highlight that managing scarcity is complex during a pandemic. Embedding ethical values in recovery and future threats preparedness should be prioritised.","PeriodicalId":75015,"journal":{"name":"The Homoeopathic physician","volume":"37 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82525710","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Hosted at Royal College of Surgeons of England, London 14 October 2022
2022年10月14日在伦敦英国皇家外科学院举行
{"title":"Dignity at Work Standards","authors":"Priyanka Nageswaran, I. Chakravorty","doi":"10.38192/1.7.3.12","DOIUrl":"https://doi.org/10.38192/1.7.3.12","url":null,"abstract":"Hosted at Royal College of Surgeons of England, London \u000014 October 2022","PeriodicalId":75015,"journal":{"name":"The Homoeopathic physician","volume":"8 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76262688","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The authors propose the background and rationale to undertake a systematic review of the evidence for the impact of helplines or crisis lines on mental health outcomes. Hitherto, the evidence of effectiveness is based on subjective feedback, and hurdles exist in long-term data due to the confidentiality and transactional nature of the interactions conducted through these services.
{"title":"Impact of Help or Crisis Lines for Mental Health","authors":"Mimi Gupta, Debasish Das, N. Chakraborty","doi":"10.38192/1.7.3.6","DOIUrl":"https://doi.org/10.38192/1.7.3.6","url":null,"abstract":"The authors propose the background and rationale to undertake a systematic review of the evidence for the impact of helplines or crisis lines on mental health outcomes. Hitherto, the evidence of effectiveness is based on subjective feedback, and hurdles exist in long-term data due to the confidentiality and transactional nature of the interactions conducted through these services. ","PeriodicalId":75015,"journal":{"name":"The Homoeopathic physician","volume":"103 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77670124","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Several economic factors can increase the risk of mental health problems, such as poverty, unemployment, debt and, on a broader scale, funding cuts for social welfare systems and lack of education. This review explores how economic factors impact mental health, with a particular focus on the impact of the current cost-of-living crisis. In many studies exploring the connection between finances and mental health, specific groups are more vulnerable, such as those with pre-existing mental health problems or unemployment. This review draws upon lessons learnt from previous economic crises. It proposes solutions to tackle the ongoing problem, such as anti-poverty measures, financial counselling and education, funding for mental health services and future research.
{"title":"The Impact of Financial Crises on Mental Health","authors":"Triya Chakravorty","doi":"10.38192/1.7.3.5","DOIUrl":"https://doi.org/10.38192/1.7.3.5","url":null,"abstract":"Several economic factors can increase the risk of mental health problems, such as poverty, unemployment, debt and, on a broader scale, funding cuts for social welfare systems and lack of education. This review explores how economic factors impact mental health, with a particular focus on the impact of the current cost-of-living crisis. In many studies exploring the connection between finances and mental health, specific groups are more vulnerable, such as those with pre-existing mental health problems or unemployment. \u0000This review draws upon lessons learnt from previous economic crises. It proposes solutions to tackle the ongoing problem, such as anti-poverty measures, financial counselling and education, funding for mental health services and future research.","PeriodicalId":75015,"journal":{"name":"The Homoeopathic physician","volume":"65 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88147859","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The Care Quality Commission is the UK's regulator for health and social care providers. It faced criticisms regarding the fairness of its processes from minority-ethnic-led primary care providers in 2020. There were concerns that the regulatory outcomes for minority ethnic-led primary care services were more frequently subject to inspection, were more likely to receive an adverse outcome, suffer a negative impact on their own health/ wellbeing, and inspectors did not give due consideration to the multiple deprivation indices in the population and areas they operated in, as well as the availability of manpower or resources. A survey conducted by the BAPIO GP forum[1] reported that the inspections were not considered practical or constructive and took the general practice team away from patient care. [2] Of particular concern was the perception that the system was unfair and discriminatory for Black and Asian GPs' small practices and those in the inner city or rural locations with multiple deprivations. The authors urge the CQC to ensure that the profession is supported and that any inspection process is fair and non-discriminatory and improves patient care. CQC commissioned research to explore the nature of its relationship, or the existence of any causal link, between ethnic minority-led GP practices and regulatory outcomes such as ratings and frequency of inspection. However, in this survey, ethnic minority-led practices were more likely to report that the quality of care improved following a CQC inspection. In this article, the National Primary Care Advisor to CQC explores the findings of this research and outlines the actions in progress to address these concerns.
{"title":"Progress on the recommendations for an equal experience of CQC regulation for ethnic minority-led GP practices","authors":"Kunal Chandarana","doi":"10.38192/1.7.3.8","DOIUrl":"https://doi.org/10.38192/1.7.3.8","url":null,"abstract":"The Care Quality Commission is the UK's regulator for health and social care providers. It faced criticisms regarding the fairness of its processes from minority-ethnic-led primary care providers in 2020. There were concerns that the regulatory outcomes for minority ethnic-led primary care services were more frequently subject to inspection, were more likely to receive an adverse outcome, suffer a negative impact on their own health/ wellbeing, and inspectors did not give due consideration to the multiple deprivation indices in the population and areas they operated in, as well as the availability of manpower or resources. \u0000A survey conducted by the BAPIO GP forum[1] reported that the inspections were not considered practical or constructive and took the general practice team away from patient care. [2] Of particular concern was the perception that the system was unfair and discriminatory for Black and Asian GPs' small practices and those in the inner city or rural locations with multiple deprivations. The authors urge the CQC to ensure that the profession is supported and that any inspection process is fair and non-discriminatory and improves patient care. \u0000CQC commissioned research to explore the nature of its relationship, or the existence of any causal link, between ethnic minority-led GP practices and regulatory outcomes such as ratings and frequency of inspection. \u0000However, in this survey, ethnic minority-led practices were more likely to report that the quality of care improved following a CQC inspection. In this article, the National Primary Care Advisor to CQC explores the findings of this research and outlines the actions in progress to address these concerns.","PeriodicalId":75015,"journal":{"name":"The Homoeopathic physician","volume":"34 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84804045","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A recent tweet by Nadine White[1], who writes for the Independent, set me thinking. She wrote that people of colour (POC) had to be always careful about how they were perceived. This comment was related to the sacking of Kwasi Kwarteng as Chancellor of the Exchequer.[2] Even if POC were successful, they had to temper their talk and actions because a different set of standards would judge them. I reflected back on similar thoughts that have crossed my mind over the last many years. As an immigrant to the UK over 30 years ago, it did not strike me initially that I was of a different colour because I wasn’t much aware of discrimination. Till then, if at any time I didn’t do as well in my career aspirations, examinations or job interviews as someone else, it was obviously because they were simply ‘just better than me. Thoughts of favouritism and discrimination did not cross my mind. The author explores the impact of racism in modern Britain and the challenges of speaking up as a minority professional
{"title":"As a Person of Colour and a Minority in Britain, is it safe to Speak Up?","authors":"N. Shrotri","doi":"10.38192/1.7.3.10","DOIUrl":"https://doi.org/10.38192/1.7.3.10","url":null,"abstract":"A recent tweet by Nadine White[1], who writes for the Independent, set me thinking. She wrote that people of colour (POC) had to be always careful about how they were perceived. This comment was related to the sacking of Kwasi Kwarteng as Chancellor of the Exchequer.[2] Even if POC were successful, they had to temper their talk and actions because a different set of standards would judge them. \u0000I reflected back on similar thoughts that have crossed my mind over the last many years. As an immigrant to the UK over 30 years ago, it did not strike me initially that I was of a different colour because I wasn’t much aware of discrimination. Till then, if at any time I didn’t do as well in my career aspirations, examinations or job interviews as someone else, it was obviously because they were simply ‘just better than me. Thoughts of favouritism and discrimination did not cross my mind. The author explores the impact of racism in modern Britain and the challenges of speaking up as a minority professional","PeriodicalId":75015,"journal":{"name":"The Homoeopathic physician","volume":"381 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84961044","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
“Nearly 50% of our psychiatrists & physician associates are from BAME backgrounds - how can we recognise and learn from the experience they bring to benefit the organisation and our service users?” was a question on Twitter by a colleague. I tried putting in a few succinct comments, as much as Twitter character counts would allow, but the thoughts brought back so many memories I could not help but write more. It is a multi-layered question which deserves multi-layered answers and complex thinking. But before we come to solutions, a bit of context will help the uninitiated reader.
{"title":"Reflections on my journey as an IMG","authors":"N. Chakraborty","doi":"10.38192/1.7.3.11","DOIUrl":"https://doi.org/10.38192/1.7.3.11","url":null,"abstract":"“Nearly 50% of our psychiatrists & physician associates are from BAME backgrounds - how can we recognise and learn from the experience they bring to benefit the organisation and our service users?” was a question on Twitter by a colleague. \u0000I tried putting in a few succinct comments, as much as Twitter character counts would allow, but the thoughts brought back so many memories I could not help but write more. It is a multi-layered question which deserves multi-layered answers and complex thinking. But before we come to solutions, a bit of context will help the uninitiated reader.","PeriodicalId":75015,"journal":{"name":"The Homoeopathic physician","volume":"3 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85353175","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Anindya Bhowmik, Lakshmish Devang, Priyanka Hariharan, P. Anand, P. Subbiah, K. Gajanan
Recognising the changes in career pathways with the growth in the Locally Employed Doctor cohort who are diverse in their composition from the UK and International Medical Graduates at various stages of their working life and with a whole host of aspirations, BAPIO SAS & LED Forum designed and delivered the novel National LED Conference in Leicester in September 2022. This conference provided a collaborative platform to discuss and debate the LED doctors' aspirations and challenges with a spectrum of national healthcare leaders and stakeholders. The proceedings included keynote sessions, interactive workshops, and presentations on research and innovation. The LED Charter was unveiled at the penultimate session of the conference highlighting a framework for development and parity in experience and progression with other doctors. The delegates represented the true diversity of LEDs and system leaders from across the UK, including people of various nationalities and stages of their careers. The enthusiasm from people wanting to participate in future SAS and LED forum surveys and conferences will help us organise future events. The positive enthusiasm from people wanting to participate in future SAS and LED forum surveys and conferences will help us organise future events with greater enthusiasm.
认识到随着本地就业医生群体的增长，职业道路发生了变化，这些医生来自英国和国际医学毕业生，在他们工作生涯的各个阶段，他们的组成各不相同，并且有很多愿望，BAPIO SAS & LED论坛于2022年9月在莱斯特设计并举办了新的全国LED会议。这次会议提供了一个合作平台，与国家医疗保健领导人和利益相关者讨论和辩论LED医生的愿望和挑战。会议包括主题演讲、互动研讨会和研究与创新报告。《LED宪章》在大会倒数第二届会议上公布，强调了与其他医生在经验和进步方面的发展和平等框架。代表们代表了来自英国各地led和系统领导者的真正多样性，包括不同国籍和不同职业阶段的人。人们希望参与未来SAS和LED论坛调查和会议的热情将有助于我们组织未来的活动。人们希望参与未来SAS和LED论坛调查和会议的积极热情将帮助我们以更大的热情组织未来的活动。
{"title":"Empowering & Embedding Locally Employed Doctors in UK Healthcare","authors":"Anindya Bhowmik, Lakshmish Devang, Priyanka Hariharan, P. Anand, P. Subbiah, K. Gajanan","doi":"10.38192/1.7.3.13","DOIUrl":"https://doi.org/10.38192/1.7.3.13","url":null,"abstract":"Recognising the changes in career pathways with the growth in the Locally Employed Doctor cohort who are diverse in their composition from the UK and International Medical Graduates at various stages of their working life and with a whole host of aspirations, BAPIO SAS & LED Forum designed and delivered the novel National LED Conference in Leicester in September 2022. \u0000This conference provided a collaborative platform to discuss and debate the LED doctors' aspirations and challenges with a spectrum of national healthcare leaders and stakeholders. The proceedings included keynote sessions, interactive workshops, and presentations on research and innovation. \u0000The LED Charter was unveiled at the penultimate session of the conference highlighting a framework for development and parity in experience and progression with other doctors. The delegates represented the true diversity of LEDs and system leaders from across the UK, including people of various nationalities and stages of their careers. The enthusiasm from people wanting to participate in future SAS and LED forum surveys and conferences will help us organise future events. \u0000The positive enthusiasm from people wanting to participate in future SAS and LED forum surveys and conferences will help us organise future events with greater enthusiasm. \u0000 ","PeriodicalId":75015,"journal":{"name":"The Homoeopathic physician","volume":"40 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91347185","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ashok Khandelwal, R. Wankhede, D. Raje, Parag Singhal
In Maharashtra, Mahila Aarthik Vikas Mandal (MAVIM), a non-profit initiative of the Government of Maharashtra, India, works to build the overall capacities of women. It acts as a nodal agency to implement various female-empowerment schemes of central and state governments. The general observation of MAVIM was that post-COVID-19, women from rural sectors experienced high rates of depression and anxiety. Hence, to understand the extent of the mental well-being of rural women, a cross-sectional field study was planned in the two worst-affected rural sectors of the Vidarbha region, located in central India.
{"title":"Impact of COVID-19 on Mental Health, Well-being and Quality of Life of Women in Rural Maharashtra","authors":"Ashok Khandelwal, R. Wankhede, D. Raje, Parag Singhal","doi":"10.38192/1.7.3.4","DOIUrl":"https://doi.org/10.38192/1.7.3.4","url":null,"abstract":"In Maharashtra, Mahila Aarthik Vikas Mandal (MAVIM), a non-profit initiative of the Government of Maharashtra, India, works to build the overall capacities of women. It acts as a nodal agency to implement various female-empowerment schemes of central and state governments. The general observation of MAVIM was that post-COVID-19, women from rural sectors experienced high rates of depression and anxiety. Hence, to understand the extent of the mental well-being of rural women, a cross-sectional field study was planned in the two worst-affected rural sectors of the Vidarbha region, located in central India.","PeriodicalId":75015,"journal":{"name":"The Homoeopathic physician","volume":"69 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84717702","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A personal aspect of training and working as an IMG doctor in the UK NHS
个人方面的培训和工作作为一个IMG医生在英国国家医疗服务体系
{"title":"An Equal Britain","authors":"V. Zamvar","doi":"10.38192/1.7.3.14","DOIUrl":"https://doi.org/10.38192/1.7.3.14","url":null,"abstract":"A personal aspect of training and working as an IMG doctor in the UK NHS","PeriodicalId":75015,"journal":{"name":"The Homoeopathic physician","volume":"109 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76511708","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
京公网安备 11010802042870号
京ICP备2023020795号-1
扫码关注我们
求助内容：
应助结果提醒方式：